Kristin Marie Palen, OTR/L
Individual provider Active NPI Pediatric Occupational Therapist · Barco, NC
NPI 1417122136 · NPPES record last updated Feb 8, 2021
Key facts
- NPI
- 1417122136
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- 5339 (NC)
- Practice address
- 4130 Caratoke Hwy FL 1
Barco, NC 27917-8001 - Phone
- (252) 621-3507
- NPI assigned
- Apr 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5339 | NC | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Connections Pediatric Therapy, LLC | Pediatrics | Current |
Accepting new patients |
| Blue Ridge Speech & Hearing Center of Loudoun County, Inc. | Past | Accepting new patients |
Locations
4130 Caratoke Hwy
Fl 1
Barco, NC 27917
Phone (252) 621-3507
Interoperability endpoints
- https://api.platform.athenahealth.com/7509/brand/1/csg/1/fhir/r4
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 0119004155 | VA | |
| Pediatric Occupational Therapist | 225XP0200X | 5339 | NC | Yes |
Addresses
Primary practice location
4130 Caratoke Hwy FL 1
Barco, NC 27917-8001
Mailing address
4130 Caratoke Hwy FL 1
Barco, NC 27917-8001
Phone (252) 621-3507
Other providers in Barco, NC
- Michael R Martz
- Colleen McLaughlin
- Michael R Martz
- Mountaineer Home Medical, LLC
- New Life Christian Fellowship of Currituck
- Parker Counseling Services PLLC
- Jasmine Lanae Parker
- Sentara Life Care Corporation
- Christine Elvira Sumner
- Gladys K Tuttle
All providers in Barco, NC · Pediatric Occupational Therapist in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.